Month: May 2016

Uncategorized Published - 27 May, 2016    By - Dr Clemens
Obesity is associated with more disability at presentation and after treatment in low back pain but not in neck pain: findings from the OIOC registry

BMC Musculoskeletal Disorders 17 (1), 140 (2016) AUTHORS: Wertli M et al BACKGROUND The influence on the treatment response in patients with low back pain (LBP) and neck pain (NP) is unknown. The aim of the study was to investigate the influence of body weight in patients with low back pain (LBP) and neck pain […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Meta-analysis of the Cardioprotective Effect of Sevoflurane Versus Propofol During Cardiac Surgery

BMC Anesthesiol. 2015;15(128) Authors: Feng Li et al Background: To evaluate the cardioprotective effects of sevoflurane versus propofol anesthesia in patients undergoing cardiac surgery. Methods: Studies were retrieved through searching several databases. Study quality was evaluated by Jadad scale. Meta-analysis was performed with RevMan5.0 software. Publication bias was tested by funnel plot. Results: As a […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Biological Inflammatory Markers Mediate the Effect of Preoperative Pain-related Behaviours on Postoperative Analgesics Requirements

BMC Anesthesiol. 2015;15(183) Authors: Myriam Daoudia et al Background: The predictive value of an individual’s attitude towards painful situations and the status of his immune system for postoperative analgesic requirements are not well understood. These may help the clinician to anticipate individual patient’s needs. Methods: Sixty patients, who underwent a laparoscopic cholecystectomy under standardised general […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Femoral Nerve Block-sciatic Nerve Block vs. Femoral Nerve Block-local Infiltration Analgesia for Total Knee Arthroplasty

BMC Anesthesiol. 2015;15(182) Authors: Mari Nagafuchi et al A Randomized Controlled Trial Background: The use of femoral nerve block (FNB) combined with sciatic nerve block (SNB) after total knee arthroplasty (TKA) has recently become controversial. Local infiltration analgesia (LIA) has been reported to be effective for postoperative TKA pain control. We aimed to assess whether […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Palliative Patients Under Anaesthesiological Care

BMC Anesthesiol. 2015;15(164) Authors: Christoph L. Lassen et al A Single-Centre Retrospective Study on Incidence, Demographics and Outcome Background: While anesthesiologist’s involvement in palliative care has been widely researched, extensive data on palliative patients under anesthesiological care in the operating room is missing. This study was performed to assess the incidence, demographics, and outcome of […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Most Physicians Lean Toward Adopting CDC Opioid Guidelines

Roughly 3 in 4 physicians said in a Medscape Medical News poll that they lean toward adopting the stricter guidelines on prescribing opioids for chronic pain that the Centers for Disease Control and Prevention (CDC) issued in March to combat an epidemic of addiction and overdose deaths. The guidelines, aimed at primary care prescribers, state […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Neuraxial vs General Anaesthesia for Total Hip and Total Knee Arthroplasty

Br J Anaesth. 2016;116(2):163-176. Authors: R. L. Johnson et al A Systematic Review of Comparative-Effectiveness Research Background: This systematic review evaluated the evidence comparing patient-important outcomes in spinal or epidural vs general anaesthesia for total hip and total knee arthroplasty. Methods: MEDLINE, Ovid EMBASE, EBSCO CINAHL, Thomson Reuters Web of Science, and the Cochrane Central […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Monetizing the Preoperative Evaluation Clinic: An Introduction

The perioperative surgical home requires successful integration of the four phases of care—preoperative, intraoperative, postoperative and post-discharge. A preoperative evaluation clinic can play a key role in enhancing the latter, achieving added and billable value for anesthesiologists in the process. “Many of us in this room are capable of delivering preoperative care just like hospitalists […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Pre-op Exercise Programs Improve Post-op Outcomes: A Retrospective Study

All of that huffing and puffing on the treadmill may be worthwhile to the patient awaiting surgery: A new retrospective study suggests that exercise programs aimed at increasing exercise tolerance before a surgical procedure may decrease morbidity and mortality. “We’ve long known that physical fitness is a factor that appears to affect a patient’s chances […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Transversus Abdominis Plane Block for Postoperative Analgesia in Patients Undergoing Total Laparoscopic Hysterectomy: A Randomized, Controlled, Observer-Blinded Trial.

Anesthesia & Analgesia: April 2016 AUTHORS: Ghisi, Daniela MD et al BACKGROUND: In this randomized, controlled, observer-blinded study, we evaluated analgesia provided by transversus abdominis plane (TAP) block after elective total laparoscopic hysterectomy in terms of reduced postoperative morphine consumption as the primary end point. METHODS: Fifty-two patients were randomly divided into 2 groups: patients […]

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